National Provider Identifier [NPI]: |
1952505877 |
Last Name Of The Provider |
ALI |
First Name Of The Provider |
BABAR |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7610 CARROLL AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
TAKOMA PARK |
Zip Code Of The Provider |
209126384 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
81 |
Number Of Services |
19879 |
Number Of Medicare Beneficiaries |
562 |
Total Submitted Charge Amount |
7159481.36 |
Total Medicare Allowed Amount |
2722274.58 |
Total Medicare Payment Amount |
2129704.93 |
Total Medicare Standardized Payment Amount |
1823252.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
18359 |
Number Of Medicare Beneficiaries With Drug Services |
232 |
Total Drug Submitted ChargeAmount |
17930.07 |
Total Drug Medicare AllowedAmount |
3785.75 |
Total Drug Medicare PaymentAmount |
2963.1 |
Total Drug Medicare Standardized Payment Amount |
2963.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
1520 |
Number Of Medicare Beneficiaries With Medical Services |
562 |
Total Medical Submitted Charge Amount |
7141551.29 |
Total Medical Medicare Allowed Amount |
2718488.83 |
Total Medical Medicare Payment Amount |
2126741.83 |
Total Medical Medicare Standardized Payment Amount |
1820289.36 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
204 |
Number Of Beneficiaries Age 75 to 84 |
179 |
Number Of Beneficiaries Age Greater 84 |
93 |
Number Of Female Beneficiaries |
305 |
Number Of Male Beneficiaries |
257 |
Number Of Non Hispanic White Beneficiaries |
179 |
Number Of Black or African American Beneficiaries |
294 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
66 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
363 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
199 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
65 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.8147 |